HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Kalia Upazila Health Complex | Health Bulletin 2014 |
Preface
It is a joyful event with thanks of Almighty Allah that an institute based Local Health Bulletin is going to be published in a short time. Thanks to MIS unit of DGHS Mohakhali fot their valuable guidance. With our limited resources MDG-4 goal achived succssfully in 2015. The DGHS Mohakhali Dhaka has imbued us with their creative thoughts and that has created enthusiasm in our way of rendering health services to our suffering humanity. I acknowledge the hard work of the contributors to develop this booklet and I wish this Health Bulletin to culminate in a meaningful out come in near future.
Dr.Mohammad Abul Hossain
UH&FPO
Kalia Upazila Health Complex

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaKalia
Name of UHFPO Dr.Mohammad Abul Hossain
Telephone No. 0482256023
FAX No. 0
Mobile No. 01711460270
Email kalia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 90.0000
No. of Unions in the Upazila14
No. of Households in the Upazila 44,143
No. of Population in the Upazila 234,700
Area of Upazila in sq km 301.00

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 50
No. of Union Sub-Centres 1 0
No. of Union Health and Family Welfare Centres 11 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 29 0
No of Trauma Centres 0 0
No. of MCWCs 0 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 1 10
No. of NGO Clinics/Facilities 0 0

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,705


Total No. of children treated under IMCI Program 15,026
Fully Vaccinated Children: 94.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 13.82 per 1,000 live births.

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 4

Legends

  • R.P.W-
  • Registered Pregnanat Woman
  • 1st ANC-
  • No. of 1st ANC recipients
  • R.P.W-
  • No. of 4th ANC recipients
  • C. Preg-
  • No. of complicated pregnancies
  • N. deli-
  • No. of normal deliveries
  • V. deli-
  • No. of vaginal deliveries
  • C. deli-
  • No. of cesarean deliveries
  • PNC-
  • No. of PNC services provided to mother in the Upazila

Maternal health and MDG-5 (No.) (January-December, 2013)


All ANC Receiptients: 1246
Total Number of Deliveries: 4781
No. of Maternal Death: 14
Valid TT Coverage: 45.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 297.56 per 100,000 live births.

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 5

No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 41,828 14,645 27,183 8,779 2,268 1,589 679 179
Union Sub-Centres 15,375 5,122 10,253 919 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 180,381 56,633 123,748 22,636 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 237,584 76,400 161,184 32,334 2,268 1,589 679 179
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 4,384 1,473 2,911 873 16 8 8 4
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 0 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 76 20 56 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 4,460 1,493 2,967 873 16 8 8 4

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 6

Top 10 diseases according to the number of patients admitted in the UHC during the reporting period
Total number of admitted patients during the reporting period 5257
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 722 13.73
2 A01 Typhoid and paratyphoid fevers 663 12.61
3
K2890 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
313 5.95
4 J17 Pneumonia in diseases classified elsewhere 304 5.78
5 Y00 Assault by blunt object 288 5.48
6 O669 Obstructed labour, unspecified 257 4.89
7 J45 Asthma 188 3.58
8 X68 Intentional self-poisoning by and exposure to pesticides 177 3.37
9 O04 Medical abortion 93 1.77
10 V892 Person injured in unspecified motor-vehicle accident, traffic 59 1.12

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 7

Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period 20
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I46 Cardiac arrest 6 30.00
2 I501 Left ventricular failure 3 15.00
3 I21 Acute myocardial infarction 2 10.00
4 P21 Birth asphyxia 2 10.00
5 K92 Other diseases of digestive system 2 10.00
6 X68 Intentional self-poisoning by and exposure to pesticides 1 5.00
7 P361 Sepsis of newborn due to other and unspecified streptococci 1 5.00
8 J45 Asthma 1 5.00
9 0 0.00
10 0 0.00

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 36.00
Coverage of households having access to sanitary latrines (%) 93.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 12,282
Bed Occupancy Rates (%) 67.29
Average Length of Hospital Stay (No. of days per patient) 2.34
Hospital Death Rate (%) 0.38


Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 257
Minor Surgeries 983

 

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 21 5 0 16 76.19
Non Doctor 90 0 0 90 100.00
Class II 17 1 16 0 0.00
Class III 98 42 25 31 31.63
Class IV 22 14 4 4 18.18
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 13 0 0 13 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 13 8 4 1 7.69
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
Class IV 1 1 0 0 0.00
Community Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 31 15 13 3 9.68
Class IV 0 0 0 0 0.00

 

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 35 5 1 29 82.86
Non Doctor 0 0 0 0 0.00
Class II 17 1 16 0 0.00
Class III 144 66 42 36 25.00
Class IV 23 15 4 4 17.39
Other Hospitals & Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 0 0 0 0 0.00
Class IV 0 0 0 0 0.00

 

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 12

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 14 1 21 5 0 0 1 1
Nurse 0 0 0 0 17 17 0 0 2 7
Medical Assistant 0 0 14 13 2 2 0 0 5 0
Medical Technologist 99 0 0 0 8 5 0 0 0 0
CHCP 31 28 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 4 4 0 0
AHI 0 0 0 0 0 0 11 9 0 0
HA 0 0 0 0 0 0 55 36 0 0
CSBA trained*** 0 0 0 0 0 0 0 10 0 0

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 13

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA) 0 0 0 0 0
X-ray machine (300 mA) 1 0 0 1 0
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
MRI machine 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 5 5 0 0 0
Autoclave 5 2 3 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 0 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 4 3 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 6 3 2 0 1
Sterilizer 3 0 3 0 0
Sucker machine (electric) 6 2 4 0 0
Ventilator 0 0 0 0 0


Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 14

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 9 2 0 7 0
Pulse oximeter 1 0 1 0 0
Dental equipment
Dental unit 1 0 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 15

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 2 2 0 0 0
Colorimeter 3 1 1 1 0
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 5 2 2 1 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 16

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge 0 0 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 2 2 0 0 0
Blood bank refrigerator 3 3 0 0 0
Blood plasma seperating machine 0 0 0 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 0 0 0 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 0 0 0 0 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 1 1 0 0 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 17

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Air conditioner
Air conditioner (split type) 0 0 0 0 0
Air conditioner (window) 5 5 0 0 0
Generator
Generator (diesel/petrol) 2 2 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 1 1 0 0
ICT equipment
Computer (desktop) 8 8 0 0 0
Laptop 27 27 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 6 6 0 0 0
Scanner 1 1 0 0 0
UPS 2 1 0 1 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 1 1 0 0 0


Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 18

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 115 82 20 12 1

Kalia Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Kalia Upazila Health Complex |
 Increase no of trained manpower in every aspects of health services including hospital and field level specially physician. Ensure availability of medicines and other logistics. Increase laboratory facilities and reparing infrastructure to develop Women and Adolescent friendly hospital. Strengthing the childhood treatment for lowering new born mortality seperate neonatal ward should be established.t seperate